. Modern surgery, general and operative. sh the cord completely across. Fractures in the lower dorsaland lumbar region are apt to contuse partially the cord and nerves of theCauda equina. Edema of the cord follows 96: Surgery of the Spine Symptoms.—In fracture-dislocation great displacement is unusual, butsome is almost always recognizable (irregularity of the spines or angulardeformity). There are pain (which is increased by motion), tenderness,ecchymosis, and motor and sensory paralysis. Priapism, cystitis, and reten-tion of urine often occur. Horsleyhas pointed out that in many ca


. Modern surgery, general and operative. sh the cord completely across. Fractures in the lower dorsaland lumbar region are apt to contuse partially the cord and nerves of theCauda equina. Edema of the cord follows 96: Surgery of the Spine Symptoms.—In fracture-dislocation great displacement is unusual, butsome is almost always recognizable (irregularity of the spines or angulardeformity). There are pain (which is increased by motion), tenderness,ecchymosis, and motor and sensory paralysis. Priapism, cystitis, and reten-tion of urine often occur. Horsleyhas pointed out that in many casesparalysis passes away only to recursubsequently, the recurrence beingdue to edema of the cord. In somecases of spinal injury there is temporaryparalysis due to shock. Persistentparalysis may. be due to lacerationof the cord, division of the cord, orcompression of the cord by bone,blood-clot (Fig. 609), or products ofinflammation. The extent of paralysisdepends on the seat of the cord must always try and decide if the ^r^^.


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